<!DOCTYPE html>
<html lang="zh-CN">
<head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Document</title>
</head>
<body>
    <table textcolor="pink" bordercolor="pink" align="center" border="1" cellspacing="0" cellpadding="0" noshade="noshade">
        <tr height="50" align="center">
            <td width="100">会员姓名</td>
            <td width="200" colspan="2"></td>
            <td width="100">出生日期</td>
            <td width="200" colspan="2"></td>
        </tr>
        <tr height="50" align="center">
            <td>身份证号</td>
            <td colspan="5"></td>
        </tr>
        <tr height="50" align="center">
            <td>通信地址</td>
            <td colspan="5"></td>
        </tr>
        <tr height="50" align="center">
            <td>联系电话</td>
            <td colspan="5"></td>
        </tr>
        <tr height="50" align="center">
            <td>会员卡号</td>
            <td colspan="5"></td>
        </tr>
    </table>
</body>
</html>